CMS Price Transparency Data

Blood test, lipase

Facility: Mat-Su Regional Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $173
  • Cash Discount Price: $101
  • vs. Medicare Baseline: 25.11x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Mat-Su Regional Medical Center is $173. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $101. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 25.11x the Medicare baseline. Located in 2500 South Woodworth Loop, Palmer, AK.
Cash / Self-Pay
$101

Average discount available for prompt cash payment at this facility.

Insurance Median
$173

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$6.89

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $6.89 (100%)
Cash / Self-Pay: $101 (1466%)
Insurance Median: $173 (2511%)
Cash: $101 (1466% of Medicare)
Ins. Median: $173 (2511% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $6.89 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 2511% of the Medicare baseline (a markup of 2411%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Medicaid / KanCare $7 102%
Medicare (plans) $7 102%
Node Non Par Hospice Agree $7 102%
Node Triwest $7 102%
Node Va $7 102%
Veterans Eval Services $7 102%
Node Champva $8 116%
Tricare $8 116%
Node Us Dept Of Labor $13 189%
Self Pay $76 - $126 1103%
Aetna $81 1176%
Ak Dept Of Corrections $139 2017%
Blue Cross Blue Shield $142 - $154 2061%
Hccmca $152 2206%
Multiplan Phcs $192 2787%
Cigna $200 2903%
Moda Assurance $200 2903%
Carlie Trans Grp $215 3120%
UnitedHealthcare $215 3120%
First Choice Health $228 3309%
Multiplan Mpi $230 3338%
Plan Vista Solutions $235 3411%
Multiplan Wc $240 3483%
One Health $240 3483%
First Health Group $243 3527%
Medical Control Network Solutions $243 3527%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2500 South Woodworth Loop, Palmer, AK 99645
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals